| Sorour Kids Dental Group, Inc | |
|
1515 W Shaw Ave Ste 101 Fresno CA 93711-3514 | |
| (559) 227-1700 | |
| (559) 227-0767 |
| Full Name | Sorour Kids Dental Group, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1515 W Shaw Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Selvana Sorour (VICE PRESIDENT) |
| Authorized Official Contact | 3107953363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorour Kids Dental Group, Inc 6633 Atlantic Ave Bell CA 90201-2523 Ph: (323) 456-7377 | Sorour Kids Dental Group, Inc 1515 W Shaw Ave Ste 101 Fresno CA 93711-3514 Ph: (559) 227-1700 |
| NPI Number | 1558936062 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558936062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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